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The System Tends to Scoop You Up and Spit You Out and They're Done With You

The Intersection of Intellectual/Developmental Disability and Homelessness From the Perspectives of Service Providers

Bibliographic Data

ID4639247
AuthorsWhitney A Thurman (0000-0002-3208-4021, The University of Texas at Austin, corresponding author), Elizabeth Heitkemper (0000-0001-9537-5195, The University of Texas at Austin), Tara Hutson (0000-0002-0489-9012, The University of Texas at Austin), Angela Preston (The University of Texas at Austin), Angela J Preston (0000-0002-8575-4324, The University of Texas at Austin), Jonathan Hecht (0000-0001-8950-5678, The University of Texas at Austin)
Year2023
Volume33
Issue11
Pages1017-1029
Publication date2023-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/10497323231186880
PMID37550990
OpenAlexW4385660666
LanguageEN
Citations received1
References cited38

People with intellectual and developmental disabilities (IDD) experience elevated risk for poor health and social outcomes in adulthood and are at risk for experiencing homelessness and housing instability. Although the exact prevalence of IDD among homeless populations is unknown, a small body of literature related to the intersection of IDD and homelessness suggests differential health needs and service use patterns, with a need for targeted health and social services. In this study, we explore the perceptions and experiences of 18 homeless or disability service providers about (a) their clients at the intersection of IDD and homelessness and (b) their role and the services provided at the intersection of IDD and homelessness. Participants struggled to provide appropriate, accessible services for this population, owing to lack of training and awareness of specific needs, fragmented systems, and inadequately funded healthcare and housing support. Our findings also reveal that clients at this intersection have high contact with public systems, which places them at risk for losing their right to self-determination. Recommendations center on systems transformation to facilitate the ability of providers to collaborate and to make data-driven decisions to deliver person-centered care

Business · Economic growth · Environmental health · Health care · Intellectual disability · Perception · Population · Psychiatry · Service provider · Supportive housing · Healthcare innovation and challenges · Homelessness and Social Issues · Housing, Finance, and Neoliberalism · Medicine · Nursing · Psychology · Social Work

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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